applications3

Application for Employment

Applicant

Name
Name
First Name
Last Name

Contact

Emergency Contact

Mailing Address

Home Address (if different from Mailing address)

Availability

Selecting a checkbox indicates a 'yes'.

 

The next two sections ask about your skills. Please select all the checkboxes that match your current skills.

 

Warehouse and Manufacturing Skills

General Warehouse Skills
Manufacturing Skills
Do you have limitations, physical, mental or medical which would interfere with your ability to perform certain types of core job functions, such as, but not limited to; repetitive lifting up to 50 lbs, operating a forklift? (please describe, if applicable)

Office Support and Computer Skills

Office Support Skills
Office Jobs
Computer Skills
Restaurant Skills

Employment / Work Experience

Most Recent Employer

Employment History

A Previous Employer

Other Agencies who may have placed you in Employment

Education

Professional References

Reference 1
Reference 2

You are required to produce a form of identification before being employed.

Agreements

Applicants for Employment in Massachusetts Note

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Applicant Certification

I certify that the information contained in this application is true and complete to the best of my knowledge. I agree that any falsification, misrepresentation, or omissions of the facts in this application or during the hiring process may result in denial of employment or immediate dismissal. I authorize a thorough investigation of all statements contained herein, and of my past employment and activities. I agree to cooperate in such investigation, and hereby release from all liability for any damage all persons and corporations requesting or supplying information. If employed, I agree to conform to the rules and regulations of the company and any changes thereto; I also understand that my employment and compensation can be terminated with or without cause, and without notice, at any time at the option of either the company or me. I further understand that no one other than the President of the company has the authority to enter into agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing, and such agreement by the President must be in writing. I further agree to submit to search of my person or any locker or work area that may be assigned to me, and I hereby waive all claims for damages on account of such examination.

Employment Policies

Electronic Signature

 

By entering my name, I understand that this constitutes a legal signature confirming that I acknowledge and warrant the truthfulness of the information provided in this application.